Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $265.07 / $7,212.00	Facility		$103.14	$265.07	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $113.94 / $139.22	Professional		$103.14	$113.94	$139.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $106.30 / $146.65	Professional		$87.08	$106.30	$146.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $130.63 / $159.44 / $219.98	Professional	50	$130.63	$159.44	$219.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.99 / $133.86 / $217.99	Facility		$99.99	$133.86	$217.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $137.66 / $198.24	Professional		$110.13	$137.66	$198.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.03 / $181.81 / $646.00	Facility		$84.03	$181.81	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $134.50 / $289.26	Professional		$87.28	$134.50	$289.26
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $5,490.00	Facility		$629.00	$3,817.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $130.07 / $244.31	Professional		$100.52	$130.07	$244.31